Comparison of two headgear systems for sleep apnea treatment of stroke patients

Cerebrovasc Dis. 2009;27(2):183-6. doi: 10.1159/000185610. Epub 2008 Dec 18.


Background: Obstructive sleep apnea is a very common condition after stroke, and it predicts poor outcomes. Unfortunately, stroke patients often do not tolerate continuous positive airway pressure. We hypothesized that a 1-piece head frame headgear would be easier and quicker to use than a traditional strap headgear.

Methods: A convenience sample of ischemic stroke patients was taught to use 2 different headgear systems, a head frame and straps. Subjects were timed while putting on and taking off the 2 headgears, and they were queried about their ease of use.

Results: All the 30 enrolled subjects found the head frame to be easier to apply and to remove than the straps. The patients took longer to put on (p < 0.01) and to remove (p < 0.01) the straps than the head frame.

Conclusions: Headgear selection should be considered when fitting a stroke patient with a continuous positive airway pressure mask.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Continuous Positive Airway Pressure / instrumentation*
  • Data Collection
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Sleep Apnea Syndromes / etiology*
  • Sleep Apnea Syndromes / therapy*
  • Stroke / complications*